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Rhode Island rates for HCPCS J2315

Injection Naltrexone Depot Form 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.78 / $5,328.55 / $5,328.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.24 / $4.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24